Kaitlin Benchimol Rodriguez, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

24946 Issued in FL

Practice address

9181 Glades Rd Ste 120
Boca Raton, FL 33434-3940

Phone

(561) 558-9467

NPI assigned

Nov 17, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nancy Kwon Hsieh, DDS, Inc

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1609088624

  Pediatric Dentistry

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1760856512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 OAKWOOD LN",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334101497",
            "telephone_number": "727-698-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9181 GLADES RD STE 120",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343940",
            "telephone_number": "561-558-9467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Parnassus Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941432210",
            "country_code": "US",
            "telephone_number": "415-476-3276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 California St Ste 302",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941181863",
            "country_code": "US",
            "telephone_number": "415-567-1532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "912 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "94901",
            "country_code": "US",
            "telephone_number": "415-459-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "KAITLIN",
        "middle_name": "BENCHIMOL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "65145",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "24946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erick Rodriguez
• Giovanna Juleisi Rodriguez
• Iliana Ivis Rodriguez, M.D.
• John H Rodriguez
• Jose Rodriguez, RPH., MBA
• Katie Rodriguez, DPT
• Mayra Luz Rodriguez, D.M.D
• Rolando Francisco Rodriguez, M.D.
• Roxana Rodriguez, DDS
• Sabina Rodriguez

• Pediatric Dentistry in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.